Ma Qichao, Wang Lin, Zhao Lihua, Wang Yicheng, Chen Mengjie, Wang Sun, Lv Zhibao, Luo Yi
Department of Orthopedics, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China.
Department of General Surgery, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China.
Front Pediatr. 2020 Jan 10;7:523. doi: 10.3389/fped.2019.00523. eCollection 2019.
Clinical evaluation of the postural balance in adolescent idiopathic scoliosis has been evaluated by coronal and sagittal parameters. The relationship between coronal and sagittal parameters has not been fully studied in adolescent idiopathic scoliosis. This study aimed to evaluate the relationship between coronal and sagittal parameters in idiopathic scoliosis. One hundred and three patients of Adolescent Idiopathic Scoliosis (AIS) were recruited. Radiographs were evaluated for the following spine and pelvic measurements. Coronal parameters including thoracic Cobb angle (TC), lumbar Cobb angle (LC), global coronal balance (GCB), apical translation of the major curve (AT), and coronal pelvic tilt (CPT) were analyzed. Sagittal parameters including thoracic kyphosis (TK), lumbar lordosis (LL), sagittal vertical axis (SVA), pelvic incidence (PI), pelvic tilt (PT), and sacral slope (SS) were analyzed. A canonical correlation analysis was performed between all of the coronal parameters and sagittal parameters. One hundred and three patients were recruited (male 15, female 88; aged 12.5 ± 1.5 years). Compared with the published age-matched normal population, TK, PI, LL, and SS were not statistically different in the normal group. However, PT was significantly increased in patent groups ( = 0.003). Canonical correlation analysis showed strong correlation between coronal parameters and sagittal parameters, = 2.44, = 0.001. SVA was not correlated with any coronal parameter. Children with AIS showed an increased pelvic tilt sign. In this study, TC, LC, GCB, AT, CPT, TK, LL, SVA, PI, PT, and SS contributed to the postural balance. In AIS, coronal balance is contributed to sagittal balance.
青少年特发性脊柱侧凸姿势平衡的临床评估已通过冠状面和矢状面参数进行。在青少年特发性脊柱侧凸中，冠状面和矢状面参数之间的关系尚未得到充分研究。本研究旨在评估特发性脊柱侧凸中冠状面和矢状面参数之间的关系。招募了103例青少年特发性脊柱侧凸（AIS）患者。对脊柱和骨盆的以下测量进行了X线片评估。分析了冠状面参数，包括胸椎Cobb角（TC）、腰椎Cobb角（LC）、整体冠状面平衡（GCB）、主弯的顶椎移位（AT）和冠状面骨盆倾斜（CPT）。分析了矢状面参数，包括胸椎后凸（TK）、腰椎前凸（LL）、矢状垂直轴（SVA）、骨盆入射角（PI）、骨盆倾斜（PT）和骶骨斜率（SS）。对所有冠状面参数和矢状面参数进行了典型相关分析。招募了103例患者（男性15例，女性88例；年龄12.5±1.5岁）。与已发表的年龄匹配正常人群相比，正常组的TK、PI、LL和SS无统计学差异。然而，患者组的PT显著增加（P = 0.003）。典型相关分析显示冠状面参数和矢状面参数之间存在强相关性，r = 2.44，P = 0.001。SVA与任何冠状面参数均无相关性。AIS患儿显示骨盆倾斜征增加。在本研究中，TC、LC、GCB、AT、CPT、TK、LL、SVA、PI、PT和SS对姿势平衡有影响。在AIS中，冠状面平衡对矢状面平衡有影响。
